Are you sure you want to exit? Your progress will be lost.
Who are you caring for?
Which best describes their mobility?
How well are they maintaining their hygiene?
How are they managing their medications?
Does their living environment pose any safety concerns?
Fall risks, spoiled food, or other threats to wellbeing
Are they experiencing any memory loss?
Which best describes your loved one's social life?
Acknowledgment of Disclosures and Authorization
By proceeding, I agree that I understand the following disclosures:
I. How We Work in Washington. Based on your preferences, we provide you with information about one or more of our contracted senior living providers ("Participating Communities") and provide your Senior Living Care Information to Participating Communities. The Participating Communities may contact you directly regarding their services. APFM does not endorse or recommend any provider. It is your sole responsibility to select the appropriate care for yourself or your loved one. We work with both you and the Participating Communities in your search. We do not permit our Advisors to have an ownership interest in Participating Communities.
II. How We Are Paid. We do not charge you any fee – we are paid by the Participating Communities. Some Participating Communities pay us a percentage of the first month's standard rate for the rent and care services you select. We invoice these fees after the senior moves in.
III. When We Tour. APFM tours certain Participating Communities in Washington (typically more in metropolitan areas than in rural areas.) During the 12 month period prior to December 31, 2017, we toured 86.2% of Participating Communities with capacity for 20 or more residents.
IV. No Obligation or Commitment. You have no obligation to use or to continue to use our services. Because you pay no fee to us, you will never need to ask for a refund.
V. Complaints. Please contact our Family Feedback Line at (866) 584-7340 or ConsumerFeedback@aplaceformom.com to report any complaint. Consumers have many avenues to address a dispute with any referral service company, including the right to file a complaint with the Attorney General's office at: Consumer Protection Division, 800 5th Avenue, Ste. 2000, Seattle, 98104 or 800-551-4636.
VI. No Waiver of Your Rights. APFM does not (and may not) require or even ask consumers seeking senior housing or care services in Washington State to sign waivers of liability for losses of personal property or injury or to sign waivers of any rights established under law.I agree that: A.I authorize A Place For Mom ("APFM") to collect certain personal and contact detail information, as well as relevant health care information about me or from me about the senior family member or relative I am assisting ("Senior Living Care Information"). B.APFM may provide information to me electronically. My electronic signature on agreements and documents has the same effect as if I signed them in ink. C.APFM may send all communications to me electronically via e-mail or by access to an APFM web site. D.If I want a paper copy, I can print a copy of the Disclosures or download the Disclosures for my records. E.This E-Sign Acknowledgement and Authorization applies to these Disclosures and all future Disclosures related to APFM's services, unless I revoke my authorization. You may revoke this authorization in writing at any time (except where we have already disclosed information before receiving your revocation.) This authorization will expire after one year. F.You consent to APFM's reaching out to you using a phone system than can auto-dial numbers (we miss rotary phones, too!), but this consent is not required to use our service.
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I consent to the collection of my consumer health data.*
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I consent to the sharing of my consumer health data with qualified home care agencies.*
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Mostly Independent
Your loved one may not require home care or assisted living services at this time. However, continue to monitor their condition for changes and consider occasional in-home care services for help as needed.
Remember, this assessment is not a substitute for professional advice.
Share a few details and we will match you to trusted home care in your area:
I am so sorry to hear of the sudden passing of your husband. That has to be much harder than those of us that had several years to prepare ourselves. But that being said, even though my husband was in poor health for many years, and under hospice care for the last 22 months of his life, I was still quite devastated when he finally did die a year ago this week. You think you're prepared, but in reality you never are. I'm sure you must still be in somewhat of a shock, so please be kind to yourself. You can "Google" the support group Grief Share in your area, as they are a great support group for anyone who has lost a loved one. A lot are still meeting on Zoom, but some have actually started meeting in person again. My thoughts and prayers go out to you, as you now start to navigate this new life without your dear husband. God bless you.
I am so sorry. My heart breaks for you. I had 12 years after my Husbands diagnosis to "prepare" and grieve and his death still shook me to my core so I can not imagine having the loss come so suddenly. I would contact your local church or place of worship and see if they have a Bereavement Support Group. You could also check with your local Senior Center and ask if they are aware of any. A quick search on google and there are some Widows Connection is one, Soaring Spirits is another. Just know that this will take time. It will hurt for a long time. People will probably not understand how or why it takes so long. You can't unless you have been in our shoes. If you need to PLEASE talk to your doctor. Therapy is an option if you can not find the "right" group for you. You need to talk, unload, vent safely. I will share with you one of the little posted notes I have stuck to my computer. I was supposed to spend the rest of my life with you... And then I realized you spent the rest of your life with me.
I do hope you have the support of family and friends now. ((hugs))
I am so sorry for your loss. Hope the good memories of your life together will bring you comfort and others who are experiencing this journey will respond ❤️
By proceeding, I agree that I understand the following disclosures:
I. How We Work in Washington.
Based on your preferences, we provide you with information about one or more of our contracted senior living providers ("Participating Communities") and provide your Senior Living Care Information to Participating Communities. The Participating Communities may contact you directly regarding their services.
APFM does not endorse or recommend any provider. It is your sole responsibility to select the appropriate care for yourself or your loved one. We work with both you and the Participating Communities in your search. We do not permit our Advisors to have an ownership interest in Participating Communities.
II. How We Are Paid.
We do not charge you any fee – we are paid by the Participating Communities. Some Participating Communities pay us a percentage of the first month's standard rate for the rent and care services you select. We invoice these fees after the senior moves in.
III. When We Tour.
APFM tours certain Participating Communities in Washington (typically more in metropolitan areas than in rural areas.) During the 12 month period prior to December 31, 2017, we toured 86.2% of Participating Communities with capacity for 20 or more residents.
IV. No Obligation or Commitment.
You have no obligation to use or to continue to use our services. Because you pay no fee to us, you will never need to ask for a refund.
V. Complaints.
Please contact our Family Feedback Line at (866) 584-7340 or ConsumerFeedback@aplaceformom.com to report any complaint. Consumers have many avenues to address a dispute with any referral service company, including the right to file a complaint with the Attorney General's office at: Consumer Protection Division, 800 5th Avenue, Ste. 2000, Seattle, 98104 or 800-551-4636.
VI. No Waiver of Your Rights.
APFM does not (and may not) require or even ask consumers seeking senior housing or care services in Washington State to sign waivers of liability for losses of personal property or injury or to sign waivers of any rights established under law.
I agree that:
A.
I authorize A Place For Mom ("APFM") to collect certain personal and contact detail information, as well as relevant health care information about me or from me about the senior family member or relative I am assisting ("Senior Living Care Information").
B.
APFM may provide information to me electronically. My electronic signature on agreements and documents has the same effect as if I signed them in ink.
C.
APFM may send all communications to me electronically via e-mail or by access to an APFM web site.
D.
If I want a paper copy, I can print a copy of the Disclosures or download the Disclosures for my records.
E.
This E-Sign Acknowledgement and Authorization applies to these Disclosures and all future Disclosures related to APFM's services, unless I revoke my authorization. You may revoke this authorization in writing at any time (except where we have already disclosed information before receiving your revocation.) This authorization will expire after one year.
F.
You consent to APFM's reaching out to you using a phone system than can auto-dial numbers (we miss rotary phones, too!), but this consent is not required to use our service.
I'm sure you must still be in somewhat of a shock, so please be kind to yourself. You can "Google" the support group Grief Share in your area, as they are a great support group for anyone who has lost a loved one. A lot are still meeting on Zoom, but some have actually started meeting in person again.
My thoughts and prayers go out to you, as you now start to navigate this new life without your dear husband. God bless you.
I would contact your local church or place of worship and see if they have a Bereavement Support Group.
You could also check with your local Senior Center and ask if they are aware of any.
A quick search on google and there are some Widows Connection is one, Soaring Spirits is another.
Just know that this will take time.
It will hurt for a long time.
People will probably not understand how or why it takes so long. You can't unless you have been in our shoes.
If you need to PLEASE talk to your doctor. Therapy is an option if you can not find the "right" group for you. You need to talk, unload, vent safely.
I will share with you one of the little posted notes I have stuck to my computer.
I was supposed to spend the rest of my life with you...
And then I realized you spent the rest of your life with me.
I do hope you have the support of family and friends now.
((hugs))